Individual
MS. LATERECKA DENISE EALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1921 RANSOM PL, NASHVILLE, TN 37217-3841
(615) 279-6700
Mailing address
1921 RANSOM PL, NASHVILLE, TN 37217-3841
(901) 218-0777
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
TN
Other
Enumeration date
04/04/2019
Last updated
04/04/2019
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